Dr Jason T Koo, MD | |
13249 Cascade Glen Dr, Draper, UT 84020-7146 | |
(801) 572-5226 | |
Not Available |
Full Name | Dr Jason T Koo |
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Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 13249 Cascade Glen Dr, Draper, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720005317 | NPI | - | NPPES |
173049102 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | M1188 (Texas) | Primary |
Entity Name | Skilled Facility Health Care Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20120530000296 |
Entity Name | Skilled Biologics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376386763 PECOS PAC ID: 4880132760 Enrollment ID: O20240914000174 |
Mailing Address | Practice Location Address |
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Dr Jason T Koo, MD 13249 Cascade Glen Dr, Draper, UT 84020-7146 Ph: (801) 572-5226 | Dr Jason T Koo, MD 13249 Cascade Glen Dr, Draper, UT 84020-7146 Ph: (801) 572-5226 |
Miles Mckee, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 621 E 12300 S, Draper, UT 84020 Phone: 385-337-4711 Fax: 435-292-7076 | |
Dr. Devan Griner, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11762 S State St Ste 110, Draper, UT 84020 Phone: 385-218-0587 Fax: 385-381-4447 |